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*Required eld. Primary phone and email address indicate how Scouts should contact you.
To qualify as a merit badge counselor, you must Be at least 18 years old and of good character. Be registered with the Boy Scouts of America (position code 42). Complete Youth Protection training. Be recognized as having the skills and education in the merit badge subjects covered and hold any required qualications and training as outlined in the Guide to Safe Scouting or the Guide to Advancementor use others so qualied. Be able to work with Scout-age boys. Merit Badges For more than eight merit badges, attach additional sheets. 1. 2. 3. 4. 5. 6. 7. 8.
A = Adding a new merit badge that you will counsel to the roster.
As a merit badge counselor, I agree to Follow the requirements of the merit badge, making no deletions or additions, ensuring that the advancement standards are fair and uniform for all Scouts. Have a Scout accompanied by his buddy during all instructional sessions. Keep my Youth Protection training current. Renew my registration annually if I plan to continue as a merit badge counselor.
For each merit badge, list qualication(s) that support your request. Qualications could include college degrees, formal training certicates, positions held, and specic life experiences.
Outdoor enthusiast and avid hiker. Experience with Troop #114 and several specific life experiences.
CAMPING
D = Removing your name from the roster for this merit badge.
Complete the following: This is a new application (first time to register as a merit badge counselor). Attach this form to the BSA Adult Application, indicating position code 42. This is an update to an existing list of merit badge subjects. I no longer wish to serve as a merit badge counselor. 09/23/2012 Youth Protection training date_____________________
(Attach copy of the current certicate.)
I agree to work with: Date_____________________________________ All Scouts All Scouts in these districts:__________________________________ TROOP #114 Only with Scouts in these units (indicate whether troop, team, or crew):______________________________________________
Counselors are encouraged to be available to work with any Scout in any unit.
I plan to serve as a merit badge counselor for this event or outside organization:_______________________________________ Signature__________________________________________________________________ Date____________________________
The session can be downloaded and viewed from www.scouting.org/BoyScouts/GuideforMeritBadgeCounselors/Resources/ advancement_presentations.aspx. Another resource is the Guide for Merit Badge Counseling, No. 34532. This resource can be found online at www.scouting.org/BoyScouts/ GuideforMeritBadgeCounselors/MBCounselorGuide.aspx. Processing This Application Merit badge counselors must register as adult Scouters and be approved by the council advancement committee for each merit badge listed on this Merit Badge Counselor Information form. A merit badge counselor does not have to pay a registration fee, but must complete an Adult Application for position code 42, fill out this form, and complete BSA Youth Protection training. Counselors may wish to associate with a particular unit but are encouraged to serve any Scout from any unit. Special Qualications and Guidelines for Merit Badge Counselors A number of merit badges involve activities that are restricted or require certication or special training for those supervising these activities. See the Guide to Advancement, topic 7.0.1.1, Qualifications of Counselors. Merit badge counselors may personally meet these required qualifications, or they may use others so qualified. Additionally, the BSA Guide to Safe Scouting has specic requirements and procedures for shooting sports and for aquatics, winter, and other activities. These policies apply to all BSA activities, including merit badge instruction. For other merit badges where specific BSA requirements do not exist, counselors should have sufcient depth of knowledge and experience to understand how to safely present the material. Instructions to Counselors The unit leader (Scoutmaster, Varsity Coach, crew Advisor, or Skipper) recommends and provides the name and contact information of at least one merit badge counselor to each Scout desiring to work on a merit badge. Before beginning to work with a youth, counselors should check the boys merit badge application (blue card) to ensure it is signed by the unit leader. E very Scout must have a buddy with him at each meeting with a merit badge counselor. This buddy could be another Scout, a parent or guardian, a brother or sister, or a relative or friend. There is no one-on-one contact allowed with Scouts and counselorsthe buddy requirement is mandatory. C ounselors may not add to or delete any merit badge requirements. Group instruction is allowed where special facilities and expert personnel make this most practical, or when Scouts are dependent on a few counselors for assistance. However, any group experience must provide attention to every individual candidates projects and progress, and assure each has actually and personally fullled all the requirements. If, for example, a requirement uses words like show, demonstrate, or discuss, then every Scout must individually do so. It is unacceptable to award badges on the basis of Scouts sitting in classrooms and watching demonstrations or remaining silent during discussions. W hen a Scout begins working on a merit badge, the current-year Boy Scout Requirements book lists the ofcial requirements in effect at that time. If requirements change after a Scout has started working on a merit badge, he may stay with the requirements in effect when he started unless the BSAs National Council places a specic timeline on the implementation of new requirements.
Revised February 2013 34405WEB 2013 Printing